Allergic fungal sinusitis causing blindness a case report

From Otolaryngology Online


60 year's old male patient reported to the outpatient department with C/O blindness & inability to open left eye - 1 week. He is a known diabetic on irregular treatment.

He also gave history of bleeding from left nose on and off - 3 months duration associated with nasal block on that side.

On examination:

Ptosis of left eye +

Proptosis of left eye +

Left eye was fixed without movement +

Pupillary reflex absent on the right side


Polypoidal mass seen occupying the whole of the nasal cavity.

Clinical photograph

Axial CT scan plain showed heterodense lesion occupying the left nasal cavity. The mass could be seen eroding the lamina papyracea to involve the orbit.

Axial CT scan of nose and sinuses showing erosion of lamina papyracea

MRI study showed soft tissue mass in the left nasal cavity involving the left optic nerve.

MRI showing optic nerve involvement

Histopathology showed mucor mycosis This case is being reported in order to high light the dangers of allergic fungal sinusitis.